FORM 1023-EZ for WESTERN MASSACHUSETTS EMDRIA REGIONAL NETWORK INC

Field Data
EIN 20-5869781
Case Number EO-2017032-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WESTERN MASSACHUSETTS EMDRIA REGIONAL NETWORK INC
Organization’s Mailing Address 100 KING ST SUITE 203
City NORTHAMPTON
State MA
ZIP 01060-3243
Accounting period End 8
Primary contact name MELYSA FRIEDMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM HELLING
PRESIDENT
26 SOUTH PROSPECT ST
AMHERST MA 01002-2632

Officer/Director/Trustee Two

STEPHANIE BAIRD
TREASURER
27 COLLEGE ST
SOUTH HADLEY MA 01075-1155

Officer/Director/Trustee Three

MELYSA FRIEDMAN
CLERK
100 KING STREET STE 203
NORTHAMPTON MA 01060-3243

Officer/Director/Trustee Four

CHERYL CASE
DIRECTOR
10 FISKE AVENUE
GREENFIELD MA 01301-3276

Officer/Director/Trustee Five

LEE PADDY
DIRECTOR
23B EVERETT AVENUE
BELCHERTOWN MA 01007-4200

Organization’s website WWW.WMASSEMDRIA.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2016
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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